Shaheen Leads 41 Senators in Delivering Warning to Speaker Ryan, House Republicans: We're Not Going to Help You Erode Healthcare Coverage

March 23, 2017

**Just prior to the House vote on healthcare repeal, Shaheen-led letter makes it clear that despite President Trump and Republican leadership’s promise to pass further repeal legislation, their follow-up proposals do not have enough support to pass the Senate**

**SENATORS: “We are writing today to inform you that our caucus will not support any efforts that jeopardize the consumer protections our constituents rely upon when they purchase insurance”**

(Washington, DC)—As the House of Representatives prepares to vote on legislation to repeal the Affordable Care Act (ACA), U.S. Senator Jeanne Shaheen (D-NH) was joined today by 41 of her Senate colleagues in sending a letter to House Speaker Paul Ryan warning that he will not have their support for further repeal legislation as outlined in the Speaker’s “three phase” plan. As part of their campaign to secure votes for passage in the House, Speaker Paul Ryan and President Trump have assured certain Republican House members that legislation will be passed, either in the current bill or at a later date, that will eliminate essential health benefit requirements for insurance coverage and undermine other critical consumer protections. The senators’ letter throws cold water on this promise saying, “We are writing today to inform you that our caucus will not support any efforts that jeopardize the consumer protections our constituents rely upon when they purchase insurance.”

This letter clearly shows that there are enough votes to sustain a point of order on repealing essential health benefits if this provision is included in the House reconciliation bill, and to block a vote if this is considered as separate legislation.

“We have always supported sensible improvements to the ACA and believe in working together to improve our health care system for the good of the patients it serves. Instead of supporting a fatally-flawed, incomplete, partisan bill, we hope you will take us up on our sincere offer to improve health care for all Americans.”

The Honorable Paul RyanSpeakerU.S. House of RepresentativesWashington, DC

Dear Speaker Ryan,

As a vote nears in the House of Representatives to repeal the Affordable Care Act (ACA), you have repeatedly stated that consideration of the American Health Care Act (AHCA) is only the first phase in your plan to replace the landmark law that has resulted in the lowest uninsured rate in our country’s history. More specifically, you have promised consideration of several legislative proposals you falsely argue will help alleviate the devastating impact of the AHCA.

As we understand your plan, you will seek to enact these proposals after Congress uses expedited procedures to consider the AHCA, a bill the Congressional Budget Office estimated would cause 24 million Americans to lose their insurance coverage. Given your plans to pass subsequent legislation through regular order in Congress, we want to correct any misimpression you may have that we will support proposals you have cited as key to your effort. Simply put, these subsequent bills will worsen the damage the AHCA will cause.

Any assurances to your colleagues that future legislation to further scale back insurance coverage will pass through regular order if the AHCA is enacted are based on the flawed assumption that the Senate Democratic Caucus will vote to further erode the health care system and strip our constituents of coverage. We are writing today to inform you that our caucus will not support any efforts that jeopardize the consumer protections our constituents rely upon when they purchase insurance.

For example, we will oppose efforts to eliminate the ACA’s essential health benefits that ensure insurance companies cover maternity care, emergency services, substance misuse and mental health treatment, prescription drugs‎, pediatric dental and vision care and other vital services. We will also oppose any efforts to lessen our constituents’ access to basic preventative and primary care. Americans reasonably expect that the premiums they pay cover such basic needs, but before the ACA, consumers were often surprised to find their insurance did not. Undermining the value of insurance and requiring that insurance plans cover rudimentary health care services is simply shifting more costs onto patients and taxpayers. Eliminating the ACA's essential health benefits would merely force the same Americans to pay more out of pocket rather than actually reducing their costs and should not be the “solution” to the premium increases the ACHA will create.

Before you move forward with floor consideration of the AHCA, we urge you to choose another path. For many years, we have acknowledged that despite its successes, the Affordable Care Act is not perfect and it needs improvement. We have always supported sensible improvements to the ACA and believe in working together to improve our health care system for the good of the patients it serves.

Instead of supporting a fatally-flawed, incomplete, partisan bill, we hope you will take us up on our sincere offer to improve health care for all Americans.